ANGIE WEINSTEIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****92

License Status

NOT RENEWED

Business

First Name

ANGIE

Last Name

WEINSTEIN

Suffix

DMD

Business Name

ANGIE WEINSTEIN DMD

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

09/30/1998

City

DECATUR

State

Zip

62522

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005